Individual provider Active NPI

Teneisha Parker-Abrams, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1417326612
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8208-C Issued in NV
Practice address
400 Shadow LN Ste 105
Las Vegas, NV 89106-4355
Phone
(702) 731-0909
NPI assigned
Sep 17, 2015
Reactivated
Mar 18, 2020
Last updated
May 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34008318A IN
Clinical Social Worker 1041C0700X 8208-C NV Primary

Addresses

Primary practice location

400 Shadow LN Ste 105
Las Vegas, NV 89106-4355

Mailing address

PO Box 753932
Las Vegas, NV 89136-3932

Other practice location 1

4795 Broadway
Gary, IN 46409-2403
Phone (219) 887-3688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240809002059 NV Practitioner - Clinical Social Worker 3072915602 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34008318AINMDClinical Social Worker
8208-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Solutions LLC Clinical CurrentSince Jul 25, 2024 Accepting new patients
Mental Health Specialty Group PA Professional CurrentSince Aug 1, 2025 Accepting new patients
Next Level Psychiatry Arizona PLLC CurrentSince Jul 25, 2024 Accepting new patients
Firstmed Health and Wellness Center Inc PastSince May 9, 2021 Accepting new patients
Vegas Cares, LLC. PastSince Aug 1, 2019 Accepting new patients

Locations

203 S Water St
Ste 206
Henderson, NV 89015

2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDEACA
  • Direct secure messaging: teneisha.parker-abrams.1@24259.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1417326612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 753932",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891363932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SHADOW LN STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064355",
            "telephone_number": "702-731-0909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4795 Broadway",
            "address_purpose": "LOCATION",
            "city": "Gary",
            "state": "IN",
            "postal_code": "464092403",
            "country_code": "US",
            "telephone_number": "219-887-3688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER-ABRAMS",
        "first_name": "TENEISHA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "deactivation_date": "2020-03-06",
        "reactivation_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008318A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "8208-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.